Introduction: Restless and anxious about the complaint.
Burning pains and ameliorated by heat.
Coldness of the affected parts.
Dr. S. Murali Krishna is a leading practitioner
practices at Visak, Andra Pradesh State. He is enthusiastic in treating
challenging cases, very often his study will be emphasized on Evidence
Based Medicine. Here he presents a Raynaud’s disease.
The man aged forty years, who was diagnosed and treated as
Rayanaud’s Disease by a vascular surgeon consulted me .He wanted
to avoid surgery on his economical issues. I examined his fingers
with much induration and discharges from the tips on both hands. I
noticed some places with blue discolouration. He is a non-stop “Bidi
smoker” for a long time.
The symptomatology of the case as follows:
The symptomatology classically directed me to prescribe Arsenicum
Album with reference to Radar Keynotes. I prescribed Arsenic Album
200 one dose. Initially I observed some changes in discharges and
gradual change in colour from blue to purple. Further follow up were
prescribed with same remedy at monthly intervals. Excellent improvement
preceded the lesions. Finally I prescribed Merc Sol 200 based on the
syphilitic miasmatic expression as ulceration.
The photographs taken during and after are given in the back wrapper
visual corner for better appreciation.
What is Rayanaud’s Disease?
Raynaud’s disease is a rare disorder that affects blood vessels.
These disorders are marked by brief episodes of vasospasm following
the narrowing of the blood vessels. Vasospasm causes decreased blood
flow to the fingers and toes, and rarely to the nose, ears, nipples,
and lips. The fingers are the most commonly affected area, but the
toes also are affected frequently. When this disorder occurs without
any known cause, it is called Raynaud’s disease, or primary
Raynaud’s. When the condition occurs along with a likely cause,
it is known as Raynaud’s phenomenon, or secondary Raynaud’s.
Primary Raynaud’s is more common and tends to be less severe
than secondary Raynaud’s.
When you have primary or secondary Raynaud’s, cold temperatures
or stressful emotions can trigger attacks. During these attacks, there
is a brief lack of blood flow to the affected body part(s), and the
skin can temporarily become white then bluish. As blood flow returns
to the area, the skin turns red. The affected areas can throb or feel
numb and tingly. With severe Raynaud’s, prolonged or repeated
episodes can cause sores or tissue death (gangrene).
It is normal for the body to keep its vital inner organs warm by limiting
blood flow to the arms, legs, fingers, and toes. The body naturally
does this in response to a long period of cold. This response can
cause frostbite. In people with Raynaud’s, the response to cold
is quicker and stronger. The response can be triggered by mild or
short-lived changes in temperature, such as:
Taking something out of the freezer
Temperatures that dip below 60 degrees Fahrenheit
In people with Raynaud’s, blood flow is more strongly reduced
in response to cold temperatures than in people without the disorder.
When Raynaud’s is severe (which is uncommon), exposure to cold
for as little as 20 minutes can cause major tissue damage.
The blood vessels of people with Raynaud’s also physically overreact
to stressful emotions. It is normal during times of psychological
stress for the body to release hormones that narrow its blood vessels.
But for people with Raynaud’s, this squeezing of blood vessels
is stronger. This results in less blood reaching fingers, toes, and
sometimes other extremities.